A semisynthetic derivative of podophyllotoxin that exhibits antitumor activity. Etoposide inhibits DNA synthesis by forming a complex with topoisomerase II and DNA. This complex induces breaks in double stranded DNA and prevents repair by topoisomerase II binding. Accumulated breaks in DNA prevent entry into the mitotic phase of cell division, and lead to cell death. Etoposide acts primarily in the G2 and S phases of the cell cycle.
For use in combination with other chemotherapeutic agents in the treatment of refractory testicular tumors and as first line treatment in patients with small cell lung cancer. Also used to treat other malignancies such as lymphoma, non-lymphocytic leukemia, and glioblastoma multiforme.
I. Medical Department, City Hospital München-Schwabing, München, Germany
Centre of Interial Medicine, University of Göttingen, Göttingen, Germany
Medical Department III of Hematology and Oncology, General Hospital Altona, Hamburg, Germany
Israel Society of Hematology, Tel-Hashomer, Israel
Schweirische Arbeitsgruppe fur klinische Krebsforschung, Lausanne, Switzerland
Hospital district of south west Finland, Turku, Finland
Sinai Hospital of Baltimore, Baltimore, Maryland, United States
Rush University Medical Center, Chicago, Illinois, United States
Golisano Children's Hospital of Southwest Florida, Fort Myers, Florida, United States
Department of Hematology, Nagoya University Graduate School of Medicine, Nagoya, Japan
Beth Israel Deaconess Medical Center, Boston, Massachusetts, United States
Dana-Farber Cancer Institute, Boston, Massachusetts, United States
Arthur G. James Cancer Hospital and Solove Research Institute at Ohio State University Medical Center, Columbus, Ohio, United States
Rebecca and John Moores UCSD Cancer Center, La Jolla, California, United States
Charles R. Wood Cancer Center at Glens Falls Hospital, Glens Falls, New York, United States
Madigan Army Medical Center - Tacoma, Tacoma, Washington, United States
Johns Hopkins University, Baltimore, Maryland, United States
Hospital San Juan de Dios, Santiago, Chile
Children's and Women's Hospital of British Columbia, Vancouver, British Columbia, Canada
Sankara Nethralaya Super Specialty Clinic, Chennai, India
Decatur Memorial Hospital Cancer Care Institute, Decatur, Illinois, United States
Sparrow Regional Cancer Center, Lansing, Michigan, United States
Sletten Cancer Institute at Benefis Healthcare, Great Falls, Montana, United States
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